Credit Card Payment Processing, for over the telephone payments.

Payment for processing over the telephone payments for services.

Telephone credit card payment form
Description of services and itemised prices*
Signed authority to act forms must be received from customer prior to processing any payments.
Price*
Credit Card Billing Total (incl GST)
$ 0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
When you click the submit button you will receive a confirmation email and we will be in touch soon.

Telephone credit card payment form